Active NPI
Jeanne Kelly
- Behavior Technician
- Lapeer, MI
National Provider Identifier
1881135481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 110 N Saginaw St
Lapeer, MI 48446-4600 - Phone
- (810) 606-8400
- NPI assigned
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
110 N Saginaw St
Lapeer, MI 48446-4600
Mailing address
71001 Village West Dr N
Lapeer, MI 48446-1609
Phone (810) 660-7588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1881135481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71001 VILLAGE WEST DR N",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461609",
"telephone_number": "810-660-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N SAGINAW ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484464600",
"telephone_number": "810-606-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.